NPIMap

Organization Active NPI

Sandra E Tinley MD PA

  • Primary Care Clinic/Center
  • Cleburne, TX
National Provider Identifier
1750607016
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
M5544 Issued in TX
Legal business name
SANDRA E TINLEY MD PA
Practice address
505 N Ridgeway Dr
Suite 160
Cleburne, TX 76033-5118
Phone
(817) 240-6110
NPI assigned
Apr 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sandra E Tinley, MD
Title
Owner
Phone
(817) 641-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X M5544 TX Primary

Addresses

Primary practice location

505 N Ridgeway Dr
Suite 160
Cleburne, TX 76033-5118

Mailing address

505 N Ridgeway Dr
Suite 160
Cleburne, TX 76033-5118
Phone (817) 641-2600

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1750607016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N RIDGEWAY DR",
            "address_2": "SUITE 160",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335118",
            "telephone_number": "817-641-2600",
            "fax_number": "817-641-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N RIDGEWAY DR",
            "address_2": "SUITE 160",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335118",
            "telephone_number": "817-240-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA E TINLEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "TINLEY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-641-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "M5544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.